View Benefit Plan screen – page 1 | page 2 | page 3 , View Video, 2 min. 15 sec.

Uni-Claim Accepted
If the carrier accepts a standard ADA insurance form, you will click on Yes.  If they require their own special form, you will indicate No.

Accept Assignment
Some insurance carriers will not send the benefit payment directly to the dentist.  This choice will be answered Yes or No.

XT Wait Time
Some carriers impose a waiting period after an extraction before allowing benefit coverage for a prosthetic tooth replacement.  If this is the case you indicate how many months this waiting period is.

Denture Replace Wait
Some carriers impose a waiting period for making new dentures.  If an insurance carrier had paid for a set of dentures, they may have a time limit before paying for another set.  That time period is entered in months for this choice.

Bridge Replace Wait
As discussed above, replacement dentures may have a waiting period. Bridges may have a similar waiting period.  If this is the case you enter that period in months for this choice.

FMX Wait Time
Some insurance carriers require a certain waiting period between full mouth x-rays in order for those x-rays to be covered by insurance.  If there is such a waiting period you would enter it here in months.

XT Prior To Coverage
This refers to whether an insurance carrier will pay for the replacement of a tooth if that tooth was extracted prior to the patient being covered by this carrier's insurance plan.  For example, consider the case of a 42 year old man who had lost a tooth when he was in his early twenties.  All these years he had not had a bridge made because he could not afford it.  Now he has started a new job that has a dental plan.  Is he covered for a bridge?  Some carriers only pay for prosthetic replacements of teeth that are lost during the time of coverage.  Some carriers will pay, but will not pay the full benefit.  In answering this question, you may enter Yes or No, or some percentage of the normal benefit.

X-Ray Include Amount
Some insurance carriers require that x-rays be included with the authorization if the treatment plan is above a certain dollar amount.  If this is the case, you enter that dollar amount here.

Prior Auth Amount
Some insurance carriers require prior authorization if the treatment plan is over a certain dollar amount.  If that is the case, that dollar amount is entered here.